Triplane Fractures Case Study

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| 1 My patient is a thirteen year old boy EZ is what I will call him. He lives in Los Lunas, New Mexico with his Mother, Father, three sisters and one brother. On October 13th he was playing baseball for his school and slide into home plate. EZ caught his cleat on home base and injured his ankle. His mother brought him to University of New Mexico Hospital for pain in his right ankle. The Emergency Room x-rayed and cats scan the fibula and tibia of the right leg. The Doctors found a triplane fracture above the growth plate on the right leg. The doctors at UNMH admitted EZ to hospital. On October 15th it was my pleasure to be assigned EZ as a patient for my school clinical at Breckinridge School of Nursing. When we arrived at the hospital my teacher, Ms.Jackie noticed that EZ was scheduled for surgical…show more content…
A triplane fracture is generally sustained during adolescence and occurs before complete closure of the distal tibia physic (growth plate). It is most common in boys ages twelve to fifteen. The classic fracture pattern is a multiplanar. The fracture extends through the tranverse(growth plate), sagittal (epiphysis), and the coronal(distal tibial metaphysis) anatomic planes. Disrupting the tibial plafond intra-articularly. Resulting in three classically fragments. It is important to remember the structural lines of development and maturation of the metaphysis, physis and epiphysis, as they relate to the triplane fracture. For an unfused growth plate, separation is likely to occur. Atricular congruity at the ankle joint surface is the major concern with a triplane fractures non-displace fractures and extra-articular fractures can be managed by non-operatively. But displaced fractures require anatomic reduction and internal fixation. The triplane fracture is believed to have first been reported in 1957 by Johnson and Fahl (www. Emedicine article
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